Individual
DR. BRIAN ANDREW PRAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
313 SECOND STREET SE, SUITE 107, CHARLOTTESVILLE, VA 22902-5654
(434) 977-5433
(888) 241-8375
Mailing address
313 SECOND STREET SE, SUITE 107, CHARLOTTESVILLE, VA 22902-5654
(434) 977-5433
(888) 241-8375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0483605
FEDERAL TAX ID#
VA
Enumeration date
07/09/2006
Last updated
12/14/2010
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